Document Detail

Surgical robotics: a review and neurosurgical prototype development.
MedLine Citation:
PMID:  15028126     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of this article is to update the neurosurgical community on the expanding field of surgical robotics and to present the design of a novel neurosurgical prototype. It is intended to mimic standard technique and deploy conventional microsurgical tools. The intention is to ease its integration into the "nervous system" of both the traditional operating room and surgeon. CONCEPT: To permit benefit from updated intraoperative imaging, magnetic resonance imaging-compatible materials were incorporated into the design. Advanced haptics, optics, and auditory communication with the surgical site recreate the sight, sound, and feel of neurosurgery. RATIONALE: Magnification and advanced imaging have pushed surgeons to the limit of their dexterity and stamina. Robots, in contrast, are indefatigable and have superior spatial resolution and geometric accuracy. The use of tremor filters and motion scalers permits procedures requiring superior dexterity. DISCUSSION: Breadboard testing of the prototype components has shown spatial resolution of 30 microm, greatly exceeding our expectations. Neurosurgeons will not only be able to perform current procedures with a higher margin of safety but also must speculate on techniques that have hitherto not even been contemplated. This includes coupling the robot to intelligent tools that interrogate tissue before its manipulation and the potential of molecular imaging to transform neurosurgical research into surgical exploration of the cell, not the organ.
Deon F Louw; Tim Fielding; Paul B McBeth; Dennis Gregoris; Perry Newhook; Garnette R Sutherland
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurosurgery     Volume:  54     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-18     Completed Date:  2004-08-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  525-36; discussion 536-7     Citation Subset:  IM    
Division of Neurosurgery, Seaman Family MR Research Centre, University of Calgary, Calgary, Alberta, Canada.
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MeSH Terms
Artificial Intelligence
Equipment Design
Image Processing, Computer-Assisted / instrumentation
Imaging, Three-Dimensional / instrumentation
Magnetic Resonance Imaging / instrumentation
Microsurgery / instrumentation*
Neurosurgery / instrumentation*
Operating Rooms
Robotics / instrumentation*
Surgery, Computer-Assisted / instrumentation*
Surgical Equipment
Technology Assessment, Biomedical

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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